Kristen Swanson

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Transcript of Kristen Swanson

Theorist ProfileTheory AnalysisKristen SwansonTheory of CaringOrigin of TheoryTheory EvaluationKristen M. Swanson, RN, PhD, FAANEducation-BSN from University of Rhode IslandMSN Adult Health and Illness Nursing from University of PennsylvaniaPhD Psycho-Social Nursing from University of ColoradoCompleted postdoctoral work at the University of WashingtonTaught at Trenton State University, University of Pennsylvania, University of ColoradoInducted into the American Academy of Nursing Holds University of Rhode Island College of Nursing Distinguished Alumni AwardCurrently Dean and Alumni Distingushed Professor at University of North Carolina at Chapel Hill and Associate Chief Nursing Officer for Academic Affairs at UNC Hospitals20 Women who miscarried interviewedQuestion 1: Are concepts clearly defined and logically connected?Is the theory congruent with current nursing practice?Promote a practical application of caring theory

Middle-range Theory of Nursing

Purpose and LevelStudying and Data Gathering from studies:Swanson's Theory of CaringFive Processes/Spheres of CaringKnowing- understanding how others' lives have meaning; avoids assumptions and centers on the person receiving careBeing with- genuinely present to others to convey that their experience has significance; enduring with, listening, attending, sharing feelingsDoing for- nursing behaviors that preserve the other's wholeness; comforting, anticipating, protecting, teaching, coaching, etc.Enabling- assisting individuals to acquire the tools they need to care for themselves; explaining, informing, supporting, allowingMaintaining belief- personal faith in the capacity of others and provide nurses with foundation for commitment to serve; believing in, realistic optimism, hope-filled attitudeMajor ConceptsNeonatal Intensive Care Unit (NICU) caregivers8 of 68 socially at-risk mothers who received public, long-term health interventionsQuestion 2: Is there a model or diagram that contributes to theory?Question 3: Are concepts measureable (operationally defined)?Question 4: Can you understand it well enough to apply it to practice or research?Q1 Answer:Originally, no. "Awkward and tied to miscarriage"Required three studiesCaring categories futher refined by phenomenological inquiry; define caringQ2:Q3 Answer:Miscarriage Caring Project which led toSwanson's Caring Professional Scale YES!Q4 Answer: Of course, what nurse hasn't applied this!Has it been tested?Evident through component usage inmany acts, policies, statementsInfusing Swanson's Theory of Caring into an Advanced Practice Nursing Model for an Infectious Diseases Anal Dysplasia ClinicIs the theory culturally relevant?Does the theory contribute to the discipline/science of nursingWould I find this theory useful? How? In what context/setting?Not yet..."work is limited by self study andlack of diversity in research participants.(Middle-class, married, educated, caucasian women)"But this will change...Andershed and Olsson (2009) StudyNine studies applied Swanson's Theory- diverse populations"Theory was effective and sensitive in guiding clinical practice""Way of encouraging individual approach to care"Discuss four main foci of nursing: person, health, environment, nursing...sound familiar? Nursing's MetaparadigmSoapbox, comments, questions